Basic Information
| Provider Information | |||||||||
| NPI: | 1275662512 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KIND | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | MICHELLE ZIENERT | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5919 W 3RD ST STE 1E | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900362833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107217591 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1436 GOODRICH BLVD | ||||||||
| Address2: | |||||||||
| City: | COMMERCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900225111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3237251337 | ||||||||
| FaxNumber: | 3232785344 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2007 | ||||||||
| LastUpdateDate: | 12/12/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.